Individual
KATHRYN LEE BRUSHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 SPRING CREEK RD, LAFAYETTE, TN 37083-4201
(615) 561-6126
Mailing address
486 SPRING CREEK RD, LAFAYETTE, TN 37083-4201
(615) 561-6126
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
21-171793
TN
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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